Child psychiatric diagnoses in a population of Dutch schoolchildren aged 6 to 8 years.

OBJECTIVE To determine the prevalence rates of child psychiatric diagnoses in a school-based population of children aged 6 to 8 years in the south of the province of Limburg (The Netherlands). METHOD In a two-stage design 1,317 children were screened with the Child Behavior Checklist. From 403 of these children, child psychiatric information was obtained with the Amsterdam Diagnostic Interview for Children and Adolescents (ADIKA, DSM-III-R/IV). Data were generalized to the responder group (n = 1,317) and to the entire cohort (N = 2,290). For the latter procedure, a prediction model was used to generalize ADIKA results to the nonresponders (n = 973). RESULTS Estimates of the prevalence of different ADIKA diagnoses in the responder group were quite comparable with those for the entire cohort. Twenty-four percent of the entire cohort met criteria for a single disorder, and 21.0% met criteria for two or more disorders. However, in only 5.7% of the cases parents did report a need for help. CONCLUSIONS Where other studies generalize psychiatric diagnoses to the responder group only, this report adds new information by generalizing the prevalence to a school-based cohort of children aged 6 to 8 years. These prevalence estimates are of importance with regard to the demand for care for child psychopathology.

[1]  J. Jolles,et al.  Factors affecting the relation between parental education as well as occupation and problem behaviour in Dutch 5- to 6-year-old children , 2001, Social Psychiatry and Psychiatric Epidemiology.

[2]  Joseph L Schafer,et al.  Inference with Imputed Conditional Means , 2000 .

[3]  W. Reich.  Diagnostic interview for children and adolescents (DICA) , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[4]  M M Weissman,et al.  Maternal smoking during pregnancy and psychopathology in offspring followed to adulthood. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[5]  R. Gomez,et al.  DSM-IV AD/HD: confirmatory factor models, prevalence, and gender and age differences based on parent and teacher ratings of Australian primary school children. , 1999, Journal of child psychology and psychiatry, and allied disciplines.

[6]  R. Gibbons,et al.  Psychiatric disorders with onset in the preschool years: I. Stability of diagnoses. , 1998, Journal of the American Academy of Child and Adolescent Psychiatry.

[7]  D. Knol,et al.  Frequency of Parental Report of Problem Behavior in Children Decreases with Increasing Maternal Age at Delivery , 1998, Psychological reports.

[8]  E. Taylor,et al.  Attention-deficit hyperactivity disorder and hyperkinetic disorder , 1998, The Lancet.

[9]  Russell A. Barkley,et al.  Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment, 2nd ed. , 1998 .

[10]  C. Carlson,et al.  Gender differences in ADHD: a meta-analysis and critical review. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[11]  J. Losilla,et al.  Diagnostic agreement between clinicians and the Diagnostic Interview for Children and Adolescents--DICA-R--in an outpatient sample. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[12]  A. Erkanli,et al.  The Great Smoky Mountains Study of Youth. Goals, design, methods, and the prevalence of DSM-III-R disorders. , 1996, Archives of general psychiatry.

[13]  R. Gibbons,et al.  Prevalence rates and correlates of psychiatric disorders among preschool children. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[14]  E. Sonuga-Barke,et al.  Mental Health of Preschool Children and their Mothers in a Mixed Urban/Rural Population , 1996, British Journal of Psychiatry.

[15]  P. Jensen,et al.  Prevalence of mental disorder in military children and adolescents: findings from a two-stage community survey. , 1995, Journal of the American Academy of Child and Adolescent Psychiatry.

[16]  S. Campbell,et al.  Behavior problems in preschool children: a review of recent research. , 1995, Journal of child psychology and psychiatry, and allied disciplines.

[17]  R. Mcgee,et al.  DSM-III-R Disorders in New Zealand 18-Year-Olds , 1994, The Australian and New Zealand journal of psychiatry.

[18]  R. Barkley,et al.  Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment , 1994 .

[19]  L J Horwood,et al.  Prevalence and comorbidity of DSM-III-R diagnoses in a birth cohort of 15 year olds. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[20]  M. Gould,et al.  Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[21]  J. Biederman,et al.  Psychiatric comorbidity in attention deficit disorder: impact on the interpretation of Child Behavior Checklist results. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  G. Canino,et al.  Impairment in the epidemiological measurement of childhood psychopathology in the community. , 1990, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  D. Hosmer,et al.  Applied Logistic Regression , 1991 .

[24]  D. Rubin,et al.  Statistical Analysis with Missing Data. , 1989 .

[25]  P. Szatmari,et al.  Ontario Child Health Study. II. Six-month prevalence of disorder and rates of service utilization. , 1987, Archives of general psychiatry.

[26]  Phil A. Silva,et al.  DSM-III disorders in preadolescent children. Prevalence in a large sample from the general population. , 1987, Archives of general psychiatry.

[27]  F. Verhulst,et al.  Mental health in Dutch children: (II) the prevalence of psychiatric disorder and relationship between measures , 1985, Acta psychiatrica Scandinavica. Supplementum.

[28]  A. Costello,et al.  Age differences in the reliability of the psychiatric interview of the child. , 1985, Child development.

[29]  C. Edelbrock,et al.  Manual for the Child: Behavior Checklist and Revised Child Behavior Profile , 1983 .

[30]  B. Herjanic,et al.  Differentiating psychiatrically disturbed children on the basis of a structured interview , 1977, Journal of abnormal child psychology.